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Questions 149

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Extract:


Question 1 of 5

The glycosylated hemoglobin of a 40-year-old client with diabetes mellitus is 2.5%. The nurse understands that:

Correct Answer: B

Rationale: A glycosylated hemoglobin (HbA1c) of 2.5% is below the normal range (4-5.6%), indicating overly tight glucose control, but in context, it suggests good diabetes management.

Question 2 of 5

While caring for a client with cervical cancer, the nurse notes that the radioactive implant is lying in the bed. The nurse should:

Correct Answer: C

Rationale: Radioactive implants must be handled with tongs and placed in a lead-lined container to minimize radiation exposure, per safety protocols.

Question 3 of 5

A client experienced a major burn over 55% of his body 36 hours ago. The client is restless and anxious, and states, 'I am in pain.' There is a physician prescription for intravenous morphine. The nurse's first action would be to:

Correct Answer: B

Rationale: Assessing respirations is critical before administering morphine, as opioids can cause respiratory depression, especially in a burn client with potential airway compromise.

Question 4 of 5

Which statement is true regarding balanced skeletal traction? Balanced skeletal traction:

Correct Answer: A

Rationale: Balanced skeletal traction commonly uses a Steinman pin to stabilize fractures.

Question 5 of 5

During the nurse's assessment of a client who has been diagnosed with anorexia nervosa, the nurse evaluates certain characteristics that accompany an intense fear of gaining weight. What characteristics are most applicable? Select all that apply.

Correct Answer: A,B

Rationale: Fatigue and excessive exercise are common in anorexia nervosa due to malnutrition and compulsive behaviors. Normal weight or high blood pressure are less typical.

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